Evidence map›Paper›PMID 33030862›Full record

ArticleObstetrics and gynecology2020

Management of Postpartum Hemorrhage With a Mini-Sponge Tamponade Device.

Maria I Rodriguez, Mary Bullard, Jeffrey T Jensen, Kenton Gregory, Bellington Vwalika, Andrew D Barofsky, Tola Marts, Alison B Edelman

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in Obstetrics and gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Maria I RodriguezDepartment of Obstetrics and Gynecology and the Center for Regenerative Medicine, Oregon Health & Sciences University, Portland, and OBSTETRX, Inc., Wilsonville, Oregon; the Department of Obstetrics and Gynecology, University of Zambia School of Medicine, Lusaka, Zambia; and Intellectual Ventures Laboratory, Seattle, Washington.
Mary Bullard
Jeffrey T Jensen
Kenton Gregory
Bellington Vwalika
Andrew D Barofsky
Tola Marts
Alison B Edelman
Oregon Health & Science University · USCreative Commons · USUniversity of Zambia · ZM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum hemorrhage is a leading cause of maternal mortality globally. A tamponade agent that can be quickly and easily placed in a range of settings could advance the treatment of atonic hemorrhage.

methodWe adapted a highly effective trauma dressing for use in postpartum hemorrhage. This mini-sponge tamponade device is comprised of two components: compressed mini-sponges contained within a strong mesh pouch and a tubular applicator. Compressed mini-sponges rapidly absorb blood, expand within seconds, and exert sustained pressure uniformly to bleeding sites. The sponges are deployed within a mesh pouch to facilitate simple vaginal removal. EXPERIENCE: We successfully placed the mini-sponge device in nine patients experiencing postpartum hemorrhage after vaginal birth, with resolution of bleeding within 1 minute. The mean time to place the device was 62 seconds. Uterine fill was documented in all cases by ultrasound scan, and device placement was rated as "easy" to "very easy." Mini-sponges were left in place on average for 1 hour (0.5 hours-14 hours). Bleeding did not recur. There were no adverse events; all patients remained afebrile and did not require subsequent surgical intervention.

conclusionThis study supports further evaluation of the mini-sponge device for the management of postpartum hemorrhage.

fundingThis study was funded by OBSTETRX, Inc.

Indexed as

Surgical SpongesAdultContraceptive Devices, FemaleEquipment DesignFeasibility StudiesFemaleHumansPostpartum HemorrhagePregnancyTreatment OutcomeUterine Balloon TamponadeVaginaYoung Adult

Identifiers

PMID33030862
PMCPMC7575022
OpenAlexW3092532733

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.